Evaluation of a Cash Transfer Program in Low-Income Families in Guinea-Bissau

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

34148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-25

Study Completion Date

2020-12-31

Brief Summary

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This pilot study will test the effect of a cash transfer program aiming to improve family food consumption patterns, family health and schooling, with resulting benefits for childhood growth and cognition.

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Detailed Description

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Cash transfer (CT) programs in low-income countries that allow recipients to receive cash designated for specific household expenditures such as food and family health and education typically show significant program benefits. In particular, several programs have shown positive impacts on use of health care resources, nutrition status and self-reported health, along with significant improvements in the motor and cognitive development of young children.

Guinea-Bissau is currently the 11th poorest country and is thus an appropriate target for a cash transfer program. This project will pilot test the effect of a 2 year cash transfer program aiming to improve family food consumption patterns, family health and schooling, with resulting benefits for childhood growth and cognition. Family-wide assessment will be conducted to examine the impact in all family members. Baseline and 3 follow up assessments will be completed.

Conditions

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Per Capita Food Consumption Expenditure Childhood Growth Childhood Cognition Anemia School Registration and Attendence Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participating families are randomized into one of two groups, an assessment-only controls group or a cash transfer group.

Primary Study Purpose

OTHER

Blinding Strategy

NONE

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Study Groups

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Control

Families assigned to this arm will be assessment only controls that do not receive the cash transfer.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

Families assigned to this arm will recieve a cash transfer following an in-depth conversation with the head of household and the signing of a contract stating they understand the purpose of the study.

Group Type EXPERIMENTAL

Cash Transfer

Intervention Type BEHAVIORAL

The heads of households will receive a cash transfer for up to 7 family members in the home every quarter. Head of households will be expected to attend meetings every 4 months at their local community health centers led by Community Health Workers (CHW). Meetings will have 2 components: 1) children under 5 will be measured to identify children at risk of malnutrition and 2) group education sessions. There will also be monthly growth monitoring and education sessions led by CHW for a subgroup of head of households with children identified as risk of malnutrition with rapid referrals to regional tertiary clinics for any children with health problems that cannot be addressed by CHW.

Interventions

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Cash Transfer

The heads of households will receive a cash transfer for up to 7 family members in the home every quarter. Head of households will be expected to attend meetings every 4 months at their local community health centers led by Community Health Workers (CHW). Meetings will have 2 components: 1) children under 5 will be measured to identify children at risk of malnutrition and 2) group education sessions. There will also be monthly growth monitoring and education sessions led by CHW for a subgroup of head of households with children identified as risk of malnutrition with rapid referrals to regional tertiary clinics for any children with health problems that cannot be addressed by CHW.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Families (defined as groups of individuals who routinely eat together) in 3 regions of Guinea-Bissau.
* Identified by developing scale based upon household characteristics and assets per capita. As well as access to services such as water, electricity and sanitation.
* Families having the lowest score identified as lowest income were recruited.